Outcomes Research
- 10 February 1994
- journal article
- letter
- Published by Massachusetts Medical Society in New England Journal of Medicine
- Vol. 330 (6) , 434-435
- https://doi.org/10.1056/nejm199402103300613
Abstract
The article by Tanenbaum (Oct. 21 issue)1 criticizing outcomes research troubled me deeply. Her thesis is that outcomes research attempts to replace subjective professional judgment with micromanagement by insurance companies and government. On the contrary, outcomes research can inform decision makers -- including public and private payers, but especially physicians and patients -- and help them make better decisions. Nobody disputes the fact that most therapeutic interventions have never been rigorously evaluated. Not even Tanenbaum would object, I trust, to evaluating these interventions on the basis of a defined end point or outcome. As long as it uses proper scientific and statistical methods, outcomes research adds to available information and should benefit medical practice.Keywords
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- The Quality of Care and the Quality of Measuring ItNew England Journal of Medicine, 1993
- The Legislative Battle Over Health Services ResearchHealth Affairs, 1992
- Effectiveness in Health CareNew England Journal of Medicine, 1988
- The Quality of Medical Evidence: Implications for Quality of CareHealth Affairs, 1988